<!doctype html>
<html>
<head>
    <meta charset="utf-8">
    <title>05-个人中心-已登录-05我的订单-05售后-申请退换货-01提交申请</title>
    <meta name="keywords" content="" />
    <meta name="description" content="" />
    <meta name="viewport" content="width=device-width, initial-scale=1.0, minimum-scale=1.0, maximum-scale=1.0, user-scalable=no" />
    <meta name="screen-orientation" content="portrait">
    <meta name="x5-orientation" content="portrait">
    <meta name="apple-mobile-web-app-capable" content="yes">
    <meta name="apple-mobile-web-app-status-bar-style" content="black">
    <meta name="format-detection" content="telephone=no">
    <meta http-equiv="Expires" content="-1">
    <meta http-equiv="Cache-Control" content="no-cache">
    <meta http-equiv="Pragma" content="no-cache">
    <link href="css/public.css" rel="stylesheet" type="text/css" media="all" />
    <link href="css/personal.css" rel="stylesheet" type="text/css" media="all" />
    <script src="js/jquery-2.1.4.min.js"></script>
</head>
<body class="graybody">
<header class="header">
    <div class="header_left"><a href="#" class="returnico"></a></div>
    <div class="header_center fontcolor">申请退换货</div>
</header>

<div class="mainpad10">
    <form>
        <ul class="backshopul">
            <li style="width: 34%" class="hqyzmlu">买家申请<i class="irightico"></i></li>
            <li>卖家处理<i class="ileftico"></i><i class="irightico"></i></li>
            <li>退换完成<i class="ileftico"></i></li>
        </ul>
        <h5 class="backshoph5">请先认真仔细阅退换货原则</h5>
        <ul class="backshopbot">
            <li>
                <p>申请服务</p>
                <select>
                    <option>仅退款</option>
                </select>
            </li>
            <li>
                <p>退款原因</p>
                <select>
                    <option>请选择退款原因</option>
                </select>
            </li>
            <li>
                <p>姓名</p>
                <input type="text" placeholder="请输入您的姓名"/>
            </li>
            <li>
                <p>联系方式</p>
                <input type="text" placeholder="请输入您的联系方式"/>
            </li>
            <li>
                <p>填写邮寄地址</p>
                <input type="text" placeholder="请填写您的地址"/>
            </li>
            <li>
                <p>订单编号</p>
                <input type="text" placeholder="请填写订单编号"/>
            </li>
            <li>
                <p>说明（0~200字）</p>
                <textarea></textarea>
            </li>
        </ul>
        <div class="mainzy10">
            <input type="submit" class="backsubmit indexbgcolor" value="提交申请"/>
        </div>
    </form>
</div>
</body>
</html>